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NPI Code Detail

MEDICARE: MADELYN URIE PA-C

MEDICARE: MADELYN URIE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantCA

General Provider Information

NPI Number : 1467216788
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELYN URIE PA-C
Provider Business Mailing Address
First Line : 8475 LAKE BACA DR
Second Line :
City : SAN DIEGO
State : CA
Zip : 92119-3145
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1685 E MAIN ST STE 301
Second Line :
City : EL CAJON
State : CA
Zip : 92021-5292
Country : US
Telephone Number : 888-743-7526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2024
Last Update Date : 01/12/2026

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